[Results of meniscus sutures in the framework of reconstruction in combined injuries of the knee joint: clinical aspects, arthrosonography, arthrography and computerized tomography].
In spite of encouraging experimental results of suturing menisci in the not-vascularised area, even today in most of these cases subtotal resection will be done. The results of meniscal reconstruction in 15 patients with a longitudinal tear of the degeneration area as consequence of a combined injury of the knee joint are discussed. Only one patient suffered a postoperative rerupture. The others did not show any signs of continuing tears of the menisci during a study period of 18.7 months. Whereas in arthrography only in a few cases superficial notches, sign for a physiological recessus, were found, CT-scan as well as arthrosonography showed in large degree of correspondence change of density in the region of suture, which can be interpreted as a process of scar transformation. Thus it is recommendable to use suture of meniscus next to stabilizing measurements of injured knee-joint, even in the zone of degeneration.
Lippert
M J
MJ
Klinik und Poliklinik für Sportverletzungen, Isar der Technischen Universität München.
Paar
O
O
Rupp
N
N
D000328:Adult; D001175:Arthrography; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008592:Menisci, Tibial / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D012086:Reoperation; D012421:Rupture; D013537:Sutures; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Ergebnisse von Meniscusnähten im Rahmen der Rekonstruktion von Kombinationsverletzungen des Kniegelenkes. Klinik, Arthrosonographie, Arthrographie und Computertomographie.